There really is no one breast skin or body type that causes the
breast to sag. It is quite simply the changes in a woman’s
breast volume that contributes to the skin stretching and with
ligaments that can no longer support the breast.
that does not bounce back after pregnancy or weight
Sagging which is
called “ptosis” results in flattened breasts with an elongated shape
and a nipple/areola complex that is pointed downward. In
profile views of more of a pronounced case of
of an unsupported breast hangs visibly lower than the breast crease. When breasts sag to this extent, the only thing to make the breasts
appear more visibly aesthetic is wearing a good supportive bra – so
that the breasts can appear more normal.
technique for a woman’s breast lift is predicated on several
important factors. Shape,
location of scars, quality of scars,
sensation of the
preservation of lactation are among the several issues a plastic
surgeon must consider. Equally important is the degree of
sagging, the elasticity of your skin, and the amount of excess skin
your plastic surgeon plans to remove.
sagging and create a perkier breast, incisions are made to sculpt
the breast to a new shape and position, reduce excess skin and raise
the nipple/areola complex. Through these incisions – excess
skin is removed; the
is moved to a more youthful position, and in some cases the areola
is made smaller to better match the proportions of the new breast
shape. Incision patterns are typically the same as those used
for breast reductions.
A breast lift does not change the
amount of breast tissue a woman has, but it does change the shape
and position which can affect overall breast size.
shape and position of your breasts will be visible immediately after
surgery, but the new look will settle a few weeks post-operative. Breast lift surgery is the only permanent way to restore a youthful
body contour to the breasts. For most patients, a breast lift
is a one time procedure, but if another lift is necessary, the same
incisions can usually be used.
degree of ptosis or sag your breast tissue has, determines the type of breast
lift that will be indicated.
Nipple positions to see if a breast lift will be indicated
at the left is a good candidate for breast augmentation.
second image is marginal candidate for breast augmentation. Quite
possibly a implant will be all that a patient might need to bring the slight ptosis up enough.
and fourth images would require some form of a breast lift. A
patient with this degree of ptosis or sag are also candidates for breast
implants if they express a desire to be larger; but a breast lift is more
than likely definitely needed.
The Crescent Lift
least invasive and reserved for those patients who have very little ptosis
(sagging). What is involved with this procedure
is a crescent-shaped piece of the excess skin is taken from above
the nipple, and suturing the tissue higher on the breast mound.
Lift is made with a semi-circle incision that can be made on either the top or
bottom side of the bottom side of the areola, depending on the amount of lift is
needed. Another incision is made a small distance from the first incision and
is made to resemble a crescent shape.
an area of skin that is removed, that once it is taken out, the surgical area
appears like a crescent shape. The plastic surgeon will then pull the opening
closed and suture it shut. More than likely there will be dissolving sutures to
hold everything together. Sometimes a permanent suture is needed to ensure a
longer lasting result.
sagging skin is pulled from the three sides of the breast to make the breast
mound appear perkier. This procedure is used in conjunction with the peri-areolar incision for breast augmentation, since the incision itself is used
for both procedures.
A Crescent Lift removes a small amount of
mostly skin and some tissue. Typically the results of this surgery will
raise the areola 1.5 to 3 centimeters and the nipple area between
1 to 1.5 centimeters.
procedure is the least invasive out of all the breast lifts. It also has the
shortest amount of recovery time.
the Crescent lift is used in women with the following:
Very minor ptosis
Women who have smaller breasts
The sagging issues are due to either
childbirth, breastfeeding or age
Crescent Lift Incisions Crescent Lift Diagram of actual procedure
With the Benelli Lift the incision is all around the areola, in which a donut
shape piece of tissue is taken away and the tissue is then
re-sutured to the edges of the areola. The remaining skin is
tightened as the incisions are closed.
The plastic surgeon
commonly uses the “purse string”
method of re-suturing.
The nipple always stays attached
during the procedure. This
stitch is a
permanent stitch which is placed around the circumference of the skin around the
areola. This is done to prevent spreading of the scar. The breast is
both lifted and tightened underneath the skin and more than likely this
procedure is combined with a breast augmentation.
This is the second least invasive
lift and is also reserved for those patients who do not have a
lot of ptosis
(sagging). This lift will also help
those patients who have extra large areolas and want to reduce the
scarring from donut/benelli mastopexy
occurs around the perimeter
of the nipple/areola complex, and is often less noticeable than the vertical
scars from the standard technique of a vertical lift/lollipop lift.
The Benelli Lift is also
Lift Incisions Benelli Lift Diagram of actual procedure
This lift is
reserved for those patients who have a moderate amount of ptosis
(or sagging), and the
is not going to be enough. The incision
runs around the nipple/areola complex and then straight down to the
crease underneath the breast. The goal of breast lift surgery is to minimize scarring as much as
possible while creating the best shape to your body type.
is below the fold of your breast, you will
need a mastopexy. The necessary scarring differs depending upon the
degree of sagging/ptosis. A short or
"lollipop" scar around the areola and down to the breast fold is
engaged to get the best breast shape.
Lift Incisions Vertical Breast Lift actual procedure
Known as the oldest and most reliable method of breast lifts - and is the
one that is normally needed for a woman going underbreast reduction surgery.
Full Anchor/Full Mastopexy Incisions Full Anchor/Full Mastopexy Procedure
This is the most common
used technique for women who have severe
nipple/areola complexfacing down towards the ground. This is also the most
invasive lift done along with sometimes being the difficult with healing.
This lift got its name from the way the incisions are placed on the breast
The incisions start with going the entire circumference of the
nipple/areola complex – extends downward towards the crease underneath the
extends the entire way of the crease, resembling an
usually has to be removed and repositioned on the newly lifted
breast, as there is usually skin that will be surgically cut away both
vertically and horizontally to allow the breast to be moved upward and towards
the center of the breast mound.
Cost of mastopexy
can range from $4,711 (2007 report from the ASAPS)
up to $10,000(if the lift is done in conjunction with an augmentation) -
depending on where the plastic surgeon is located, the difficulty of
the case, and method he or she might use.
Most breast lifts
are done together with
breast augmentation, however there seems to
be more plastic surgeons suggesting that the best results for
longevity of the lift – is to do the lift first and then schedule
the augmentation after a period of several months.
done so that the lift
can heal properly without the extra weight of the implants
compromising the incisions. To have this procedure done in a
two step method ends up being more costly for the patient, but
usually does insure the longevity of the lift.